Apex Veterinary Marketing – Guaranteed Results

Welcome To Apex Veterinary Marketing
Please fill out this onboarding form as accurately as possible. This form will provide us with the information we need to build your website and launch your marketing campaigns. Complete one form for each of your locations.

Tell us about your practice
Name of Practice*
Main Practice Phone Number*
How many employees do you have at the practice?*
How many locations do you have?
Practice Address*
Suite Number
City*
State*
Zip Code*
What is a landmark close to your location?*
(i.e. We are across the street from Macy's, we are by IKEA)
What cities, neighborhoods, or towns do your patients come from?*
What are the top three veterinary Services you want to focus on for your practice?*
(i.e. Microchipping, Dental, Emergency Care)
Business Hours*
Enter your hours of operation below.
Business Hours - Notes
Enter any other additional information regarding your hours of operation, for example, if you have alternating days, lunch hours, etc.
What month and year did you open your practice?*
Did the practice have a previous name or address?*
- Yes
- No
Please provide the previous name and or address.*
What is your practice management software?*
Which methods of payments do you accept?*
(i.e. cash, in-house payment plans, credit card)
Do You Accept insurance? If yes, list the top 5 plans you accept.
Would you like to assign a marketing point of contact for your practice?*
- Yes
- No, I (the Doctor) will be the point of contact
Point of Contact Name*
Point of Contact Phone Number*
Point of Contact Email*
Your Name*
Your Email*
Best phone number to reach you?*
Providers
How many providers does your practice have?*
First Name
Last Name
Suffix
First Name
Last Name
Suffix
First Name
Last Name
Suffix
First Name
Last Name
Suffix
First Name
Last Name
Suffix
Names of Providers*
Add the information about your providers.
First Name Last Name Suffix
Which provider would you like to feature/highlight on your website?*
Do you or any other doctors practice in other offices?*
- Yes
- No
Please provide the names of the other practices.*
Do you have a logo?
- Yes
- No
Upload logo file
High resolution file of your logo. The file should be in .ai, .eps or .indd. Please also include a .jpg version for digital purposes. Please make sure all images are 300DPI.
Max. file size: 8 MB.
Does your office have a theme?*
- Yes
- No
Please explain your office theme.*
Are you currently enrolled or do you plan on enrolling in any phone support services?
- Yes
- No
- I don't know

About your marketing
Are you with another marketing company?*
- Yes
- No
What is the name of the marketing company?*
Have you submitted the cancellation with your current marketing company?*
- Yes
- No
What is unique about your practice?
What is unique about your veterinarian(s)?
Have any of your veterinarians completed residencies? If so, in what specialty?
Do you have any affiliations, awards or achievements to include?
Have you been featured in any publications? If so, which ones?
What is your main message or positioning? Provide three areas of focus.
(i.e convenience, financing options, latest technology, late appointments, weekend appointments, etc.)
Unique marketable attributes, amenities or services you have:
List any current marketing or advertising you are doing, in addition any websites related to the domain.
What are the practice's vision and mission statement?
Why do you believe pet owners chose you/your practice?*

Confirmation
Please review your information and then click submit.
{all_fields}
Submitted By*
First Last
Your Email*
A copy of this form will be emailed to you for your records.
Information Accuracy*
- I confirm that the information above is accurate and free of errors.

Welcome To Onboarding!

Apex Onboarding

Welcome To Apex Veterinary Marketing

Tell us about your practice

Providers

About your marketing

About your website

Fun Facts

About your services

Confirmation

First Name	Last Name	Suffix